Empressiv Glow Hydration and Wellness LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EMPRESSIV GLOW HYDRATION AND WELLNESS LLC

Practice address

27251 Wesley Chapel Blvd
Suite 1155
Wesley Chapel, FL 33544-4285

Phone

(813) 578-7438

Fax

(813) 537-8858

NPI assigned

Feb 9, 2023

Last updated

Feb 25, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicole Rashel KennerlyNPI 1275164477

Title

Owner

Phone

(813) 578-7438

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Rashel Kennerly, APRN

  • Family Nurse Practitioner
  • Spring Hill, FL
  • NPI 1275164477
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1780381806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27251 WESLEY CHAPEL BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444285",
            "telephone_number": "813-578-7438",
            "fax_number": "813-537-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27251 WESLEY CHAPEL BLVD",
            "address_2": "SUITE 1155",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444285",
            "telephone_number": "813-578-7438",
            "fax_number": "813-537-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPRESSIV GLOW HYDRATION AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "KENNERLY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "RASHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-578-7438"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Marie Emerle
• Emmett Emery Sr., ABA
• Star Anne Emison, PA
• Jennifer A Emmons, MA, RMHCI
• Emory Salley LLC
• Encompass Health Rehabilitation Hospital of Wesley Chapel, LLC (Encompass Health Rehabilitation Hospital of Wesley Chapel)
• Jozsef Janos Endredi, MD
• Carly Endriss, PT, DPT
• Jenna Christine English, M.ED. CCC-SLP
• Alexander Enrriquez

• Family Medicine Physician in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.